By: Yosh Thomas  Nov. 06, 2020

Dexur analyzed Medicare Claims data to calculate the Medicare Spending per Beneficiary (MSPB) cost for hospitals in the Dallas metro area for Hip and Knee Replacement surgeries and ranked the hospitals based on cost outcomes. MSPB weighs 25% in the CMS Value-Based Purchasing (VBP) program and is the only measure under the Efficiency and Cost domain. Hospitals have to wait more than a year to get aggregate MSPB numbers with no insight into DRG or service line specific costs. Dexur replicates CMS algorithms to update DRG and service line MSPB costs on a quarterly basis and with only a 5-6 month delay. For the analysis, Dexur considered hospitals in the Dallas area that record more than 11 episodes of DRG 470 during the calendar year 2019.

By: Yosh Thomas  Nov. 03, 2020

Dexur analyzed Medicare Claims data to calculate the Medicare Spending per Beneficiary (MSPB) cost for hospitals in the Las Vegas area for Hip and Knee Replacement surgeries and ranked the hospitals based on cost outcomes. MSPB weighs 25% in the CMS Value-Based Purchasing (VBP) program and is the only measure under the Efficiency and Cost domain.

By: Yosh Thomas  Oct. 30, 2020

Dexur analyzed Medicare Claims data to calculate the Medicare Spending per Beneficiary (MSPB) cost for hospitals in the Atlanta Metropolitan Statistical Area for Hip and Knee Replacement surgeries and ranked the hospitals based on cost outcomes. MSPB weighs 25% in the CMS Value-Based Purchasing (VBP) program and is the only measure under the Efficiency and Cost domain. Hospitals have to wait more than a year to get aggregate MSPB numbers with no insight into DRG or service line specific costs.

By: Barsha Nandy  May. 26, 2020

Dexur’s analysis of medicare claims of hospitals in South Carolina showed that GHS Patewood Memorial Hospital, Conway Medical Center & Pelham Medical Center had the best value outcomes over a 90-day episode for Hip & Knee Replacement. Dexur’s value analysis tracks a patient’s episode of care from the date of admission for 90 days and includes the index hospitalization, rehospitalization, home health, nursing home, and ED costs. The total cost of care helps patients make appropriate choices and helps ACOs such as Prisma Health Midlands Network, Southeastern Health Partners Medicare ACO, Prisma Health Upstate Network, Freedom Health Alliance, and Avant MSO to make appropriate referrals choices. The analysis was risk-adjusted and was done at the DRG level, (specifically DRG 470: Major Joint Replacement Or Reattachment Of Lower Extremity Without Major Complication Or Comorbidity (MCC)) to adjust for complications and comorbidities.

By: James Pitt  Jan. 28, 2019

Dr. Christopher J. Evanich is a top-ranked orthopedic surgeon who practices at the Orthopedic Institute of Wisconsin. James Pitt interviewed Dr. Evanich about his practice, his method of patient education, what's good and bad in EHRs, and how his time as an engineer helped him in medicine. This interview has been edited for length and clarity.